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South Carolina rates for HCPCS 58662

Laps Fulg/Exc Ovary Viscera/Peritoneal Surface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,495.26 / $9,600.00 / $19,756.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,844.86 / $9,293.78 / $18,142.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,639.40 / $3,639.40 / $4,676.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.66 / $980.00 / $1,600.00
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$176.25 / $196.00 / $320.00
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.37 / $137.19 / $224.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $19,627.00 / $25,620.00